Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0052
2020
Open to Public Inspection
For calendar year 2020, or tax year beginning 01-01-2020 , and ending 12-31-2020
Name of foundation
HAYNER FOUNDATION TA
 
Number and street (or P.O. box number if mail is not delivered to street address)6325 S RAINBOW BLVD STE 300
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
LAS VEGAS, NV89118
A Employer identification number

35-6064431
B Telephone number (see instructions)

(888) 730-4933
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ... bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$2,394,707J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books 		(b) Net investment
income 		(c) Adjusted net
income 		(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 57,261 57,199  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 133,624
b Gross sales price for all assets on line 6a 1,238,786
7 Capital gain net income (from Part IV, line 2)... 133,624
8 Net short-term capital gain......... 0
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule)....... Click to see attachment 560    
12 Total. Add lines 1 through 11........ 191,445 190,823  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 31,386 23,540   7,847
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule).........       0
b Accounting fees (attach schedule)....... Click to see attachment 1,068 0 0 1,068
c Other professional fees (attach schedule).... Click to see attachment 1,943     1,943
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... Click to see attachment 1,749 1,749   0
19 Depreciation (attach schedule) and depletion... 0 0  
20 Occupancy..............        
21 Travel, conferences, and meetings.......   0 0  
22 Printing and publications..........   0 0  
23 Other expenses (attach schedule)....... Click to see attachment 210 18   192
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 36,356 25,307 0 11,050
25 Contributions, gifts, grants paid....... 95,000 95,000
26 Total expenses and disbursements. Add lines 24 and 25 131,356 25,307 0 106,050
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 60,089
b Net investment income (if negative, enter -0-) 165,516
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2020)
Form 990-PF (2020)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.) 		Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............. 2,975 4,319 4,319
2 Savings and temporary cash investments......... 59,171 55,035 55,035
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet     0 0
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet0      
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule).......   Click to see attachment461,438 737,025
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 1,765,232 Click to see attachment1,369,061 1,598,328
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 1,827,378 1,889,853 2,394,707
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22).........   0
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions...........    
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........ 1,827,378 1,889,853
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds    
29 Total net assets or fund balances (see instructions)..... 1,827,378 1,889,853
30 Total liabilities and net assets/fund balances (see instructions). 1,827,378 1,889,853
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 29 (must agree with end-of-year figure reported on prior year’s return) ...............
1
1,827,378
2
Enter amount from Part I, line 27a .....................
2
60,089
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
3,622
4
Add lines 1, 2, and 3 ..........................
4
1,891,089
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
1,236
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
1,889,853
Form 990-PF (2020)
Form 990-PF (2020)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)		 (b)
How acquired
P—Purchase
D—Donation 		(c)
Date acquired
(mo., day, yr.) 		(d)
Date sold
(mo., day, yr.)
1 a 101. ISHARES S&P MID-CAP 400 GROWTH   2009-12-28 2020-02-14
b 12. ISHARES RUSSELL 2000 ETF   2018-02-02 2020-02-14
c 138. ISHARES S&P MID-CAP 400 VALUE   2008-02-15 2020-02-14
d 705.17 T ROWE PR REAL ESTATE-I #432     2020-02-14
e 527. SPDR DJ WILSHIRE INTERNATIONAL R ETF   2009-12-28 2020-02-14
261. VANGUARD SHORT TERM BOND ETF     2020-02-14
128. VANGUARD SHORT TERM BOND ETF   2019-02-26 2020-02-14
1. ALPHABET INC CL C   2019-08-09 2020-02-18
11. APPLE INC     2020-02-18
3. BLACKROCK INC   2018-11-28 2020-02-18
6. BOEING CO   2019-08-09 2020-02-18
9. BROADCOM INC   2019-12-30 2020-02-18
33. CVS HEALTH CORPORATION   2018-02-02 2020-02-18
9. HOME DEPOT INC   2019-07-08 2020-02-18
8. LAM RESEARCH CORP COM   2018-10-03 2020-02-18
38. ELI LILLY & CO COM   2019-08-09 2020-02-18
15. ELI LILLY & CO COM     2020-02-18
115. MANULIFE FINANCIAL CORP   2019-04-23 2020-02-18
25. MICROSOFT CORP   2019-08-09 2020-02-18
34. MONDELEZ INTERNATIONAL INC   2019-08-09 2020-02-18
10. PNC FINANCIAL SERVICES GROUP     2020-02-18
84. SUNCOR ENERGY INC NEW F   2018-11-28 2020-02-18
16. TARGET CORP   2016-06-13 2020-02-18
19. TORONTO DOMINION BK ONT COM NEW   2019-08-09 2020-02-18
40. TOTAL S.A. - ADR     2020-02-18
8. UNITED PARCEL SERVICE-CL B   2019-08-09 2020-02-18
14. UNITED PARCEL SERVICE-CL B   2019-08-09 2020-02-18
11. UNITEDHEALTH GROUP INC   2019-08-09 2020-02-18
6. UNITEDHEALTH GROUP INC   2013-03-01 2020-02-18
12. ZOETIS INC   2019-08-09 2020-02-18
25. ZOETIS INC   2017-04-25 2020-02-18
2. EATON CORP PLC   2019-08-09 2020-02-18
25. EATON CORP PLC     2020-02-18
10. DIAGEO PLC - ADR   2019-08-09 2020-03-05
22. GILEAD SCIENCES INC     2020-03-05
30. HOME DEPOT INC   2017-04-03 2020-03-05
34. HOME DEPOT INC     2020-03-05
27. MERCK & CO INC NEW   2019-08-09 2020-03-05
4. THERMO FISHER SCIENTIFIC INC   2019-08-09 2020-03-05
36. EATON CORP PLC   2019-08-09 2020-03-05
11. WALT DISNEY CO   2019-08-09 2020-03-17
21. GILEAD SCIENCES INC   2016-08-24 2020-03-17
9. ELI LILLY & CO COM   2016-10-04 2020-03-17
2.99967 MONDELEZ INTERNATIONAL INC   2019-08-09 2020-03-17
21. MONDELEZ INTERNATIONAL INC   2018-11-28 2020-03-17
37.00033 MONDELEZ INTERNATIONAL INC   2019-08-09 2020-03-17
26. UNION PACIFIC CORP   2013-03-01 2020-03-17
158. EATON CORP PLC     2020-03-17
25. EATON CORP PLC   2019-08-09 2020-03-17
489.845 EATON VANCE GLOB MACRO ADV-I 208   2017-10-26 2020-04-03
17.296 FIDELITY NEW MRKTS INC-Z #3323   2020-02-20 2020-04-03
595. ISHARES CORE U.S. AGGREGATE ETF     2020-04-03
44. ISHARES CORE MSCI EMERGING ETF   2020-02-14 2020-04-03
233. ISHARES CORE MSCI EMERGING ETF   2019-02-26 2020-04-03
452.32 PRINCIPAL HIGH YIELD-R6 #4264     2020-04-03
579. VANGUARD INTERMEDIATE TERM B     2020-04-03
152. VANGUARD INTERMEDIATE TERM B     2020-04-03
1259. VANGUARD FTSE DEVELOPED ETF     2020-04-03
81. VANGUARD FTSE DEVELOPED ETF   2019-08-08 2020-04-03
1048. VANGUARD FTSE EMERGING MARKETS ETF     2020-04-03
5. VANGUARD FTSE EMERGING MARKETS ETF   2020-02-14 2020-04-03
75. PNC FINANCIAL SERVICES GROUP     2020-04-06
36. PNC FINANCIAL SERVICES GROUP   2019-08-09 2020-04-06
.37 RAYTHEON TECHNOLOGIES CORP   2019-08-14 2020-04-29
236. ISHARES S&P MID-CAP 400 GROWTH   2009-12-28 2020-05-15
34. ISHARES S&P MID-CAP 400 GROWTH   2020-04-03 2020-05-15
363. ISHARES RUSSELL 2000 ETF   2018-02-02 2020-05-15
104. ISHARES S&P MID-CAP 400 VALUE   2020-04-03 2020-05-15
338. ISHARES S&P MID-CAP 400 VALUE     2020-05-15
83. ISHARES CORE MSCI EMERGING ETF   2019-02-26 2020-05-15
8877.759 PRINCIPAL HIGH YIELD-R6 #4264     2020-05-15
49. VANGUARD FTSE DEVELOPED ETF   2013-03-01 2020-05-15
7. BLACKROCK INC     2020-05-20
8. BLACKROCK INC     2020-05-20
55. CVS HEALTH CORPORATION   2018-02-02 2020-05-20
56. CVS HEALTH CORPORATION   2019-10-22 2020-05-20
60. EOG RESOURCES, INC   2020-03-17 2020-05-20
20. EOG RESOURCES, INC   2018-07-18 2020-05-20
111. LAS VEGAS SANDS CORP   2019-08-09 2020-05-20
185. LAS VEGAS SANDS CORP     2020-05-20
56. MONDELEZ INTERNATIONAL INC     2020-05-20
37. MONDELEZ INTERNATIONAL INC   2019-08-29 2020-05-20
29. TE CONNECTIVITY LTD   2019-08-09 2020-05-20
13. TE CONNECTIVITY LTD   2018-11-19 2020-05-20
9. APPLE INC   2020-04-06 2020-06-01
34. BOEING CO     2020-06-01
23. DIAGEO PLC - ADR   2016-08-24 2020-06-01
9. LAM RESEARCH CORP COM   2020-04-06 2020-06-01
82. TJX COMPANIES INC     2020-06-01
64. TJX COMPANIES INC     2020-06-01
2850.172 JAMES ALPHA GL REAL EST-I     2020-06-17
65. AT & T INC   2019-08-09 2020-07-30
2. ALPHABET INC CL C   2020-05-20 2020-07-30
14. APPLE INC   2019-03-15 2020-07-30
2. BLACKROCK INC   2014-06-10 2020-07-30
1. BOOKING HOLDINGS INC   2020-03-05 2020-07-30
3. BROADCOM INC   2019-12-30 2020-07-30
2. BROADCOM INC   2019-07-08 2020-07-30
11. CVS HEALTH CORPORATION     2020-07-30
21. CVS HEALTH CORPORATION   2019-07-24 2020-07-30
29. CISCO SYSTEMS INC   2019-08-09 2020-07-30
10. DIAGEO PLC - ADR   2016-08-24 2020-07-30
12. WALT DISNEY CO     2020-07-30
24. GILEAD SCIENCES INC     2020-07-30
570. INVESCO OPTIMUM YIELD DIVERS   2020-04-03 2020-07-30
40. ISHARES RUSSELL 2000 ETF   2018-02-02 2020-07-30
190. ISHARES CORE MSCI EMERGING ETF   2019-02-26 2020-07-30
22. JPMORGAN CHASE & CO   2019-10-22 2020-07-30
6. LAM RESEARCH CORP COM   2019-03-15 2020-07-30
12. ELI LILLY & CO COM     2020-07-30
103. MANULIFE FINANCIAL CORP   2019-08-09 2020-07-30
31. MERCK & CO INC NEW   2019-08-09 2020-07-30
27. MICROSOFT CORP     2020-07-30
24. MONDELEZ INTERNATIONAL INC   2018-10-03 2020-07-30
11. TARGET CORP   2016-06-13 2020-07-30
23. UNILEVER N.V. - ADR   2020-03-05 2020-07-30
25. UNITED PARCEL SERVICE-CL B     2020-07-30
5. UNITEDHEALTH GROUP INC   2020-05-20 2020-07-30
192. VANGUARD FTSE DEVELOPED ETF   2013-03-01 2020-07-30
48. VANGUARD MIDCAP VIPER   2020-02-14 2020-07-30
7. VISA INC-CLASS A SHRS   2020-04-06 2020-07-30
13. WASTE MANAGEMENT INC   2020-03-05 2020-07-30
64. APPLE INC     2020-09-15
12. ELI LILLY & CO COM   2016-10-04 2020-09-15
10. ELI LILLY & CO COM   2020-04-06 2020-09-15
27. MICROSOFT CORP   2019-08-09 2020-09-15
23. TARGET CORP   2019-08-09 2020-09-15
37. UNITED PARCEL SERVICE-CL B     2020-09-15
298. ISHARES CORE U.S. AGGREGATE ETF     2020-09-25
50. ISHARES CORE MSCI EMERGING ETF   2019-02-26 2020-09-25
286.636 TCW EMRG MKTS INCM-I 4721   2020-02-20 2020-09-25
288.867 TCW EMRG MKTS INCM-I 4721   2018-07-16 2020-09-25
1126. VANGUARD INTERMEDIATE TERM B     2020-09-25
62. VANGUARD INTERMEDIATE TERM B   2020-05-15 2020-09-25
37. APPLE INC   2012-11-26 2020-10-30
22. CME GROUP INC     2020-10-30
18. CME GROUP INC   2020-09-15 2020-10-30
17. LAM RESEARCH CORP COM   2019-08-09 2020-10-30
8. MICROSOFT CORP   2019-08-09 2020-10-30
31. NIKE INC CL B     2020-10-30
18. VISA INC-CLASS A SHRS   2020-04-06 2020-10-30
5. BLACKROCK INC   2014-06-10 2020-11-20
11. BROADCOM INC   2019-10-22 2020-11-20
28. DIAGEO PLC - ADR   2020-09-15 2020-11-20
8. DIAGEO PLC - ADR     2020-11-20
64. HAIN CELESTIAL GROUP INC     2020-11-20
55. SPIRIT AEROSYTSEMS HOLD-CL A   2020-03-17 2020-11-20
27. SPIRIT AEROSYTSEMS HOLD-CL A   2016-10-04 2020-11-20
27. TARGET CORP     2020-11-20
11. UNITED PARCEL SERVICE-CL B   2016-10-04 2020-11-20
99. AT & T INC   2018-02-13 2020-12-09
6. AMGEN INC   2020-09-15 2020-12-09
16. APPLE INC     2020-12-09
13. BLACKSTONE GROUP INC/THE   2020-11-20 2020-12-09
19. BROADCOM INC     2020-12-09
67. CVS HEALTH CORPORATION     2020-12-09
8. CELANESE CORP   2019-08-09 2020-12-09
42. CISCO SYSTEMS INC   2019-08-09 2020-12-09
18. CITIGROUP INC.   2019-12-30 2020-12-09
12. WALT DISNEY CO   2019-08-09 2020-12-09
1503.851 EV GL MACR ABS RTRN ADV-R6 #1072   2017-10-26 2020-12-09
6. FIDELITY NATL INFORMATION SVCS INC   2020-09-15 2020-12-09
16. GILEAD SCIENCES INC     2020-12-09
46. INTERPUBLIC GROUP COS INC   2020-10-30 2020-12-09
1372. INVESCO OPTIMUM YIELD DIVERS   2020-04-03 2020-12-09
14. JPMORGAN CHASE & CO     2020-12-09
12. LAM RESEARCH CORP COM     2020-12-09
6. ELI LILLY & CO COM   2016-10-04 2020-12-09
113. MANULIFE FINANCIAL CORP     2020-12-09
9. MERCK & CO INC NEW   2020-04-06 2020-12-09
7. MERCK & CO INC NEW   2019-08-09 2020-12-09
11. RAYTHEON TECHNOLOGIES CORP   2019-08-14 2020-12-09
295. SUNCOR ENERGY INC NEW F     2020-12-09
47. TORONTO DOMINION BK ONT COM NEW   2019-10-22 2020-12-09
121. TOTAL S.A. - ADR     2020-12-09
29. UNITED PARCEL SERVICE-CL B     2020-12-09
118. VANGUARD MIDCAP VIPER   2020-02-14 2020-12-09
7. MEDTRONIC PLC   2019-07-24 2020-12-09
33. TE CONNECTIVITY LTD     2020-12-09
33. TE CONNECTIVITY LTD     2020-12-09
13.99822 FIDELITY NATL INFORMATION SVCS INC   2020-09-15 2020-12-11
9.00178 FIDELITY NATL INFORMATION SVCS INC     2020-12-11
160. GILEAD SCIENCES INC     2020-12-11
22. GILEAD SCIENCES INC   2020-05-20 2020-12-11
24. TARGET CORP     2020-12-11
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CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
(e)
Gross sales price 		(f)
Depreciation allowed
(or allowable) 		(g)
Cost or other basis
plus expense of sale 		(h)
Gain or (loss)
(e) plus (f) minus (g)
a 24,875   8,002 16,873
b 2,024   1,855 169
c 23,509   10,253 13,256
d 19,110   18,262 848
e 20,784   18,213 2,571
21,155   20,699 456
10,375   10,119 256
1,522   1,190 332
3,488   1,338 2,150
1,690   1,272 418
2,027   2,012 15
2,790   2,820 -30
2,345   2,508 -163
2,195   1,917 278
2,638   1,220 1,418
5,357   4,294 1,063
2,114   1,217 897
2,249   2,108 141
4,672   3,438 1,234
2,016   1,868 148
1,508   1,338 170
2,525   2,730 -205
1,882   1,075 807
1,078   1,073 5
1,938   2,204 -266
849   929 -80
1,485   1,626 -141
3,312   2,719 593
1,807   321 1,486
1,714   1,495 219
3,571   1,373 2,198
207   155 52
2,593   1,808 785
1,433   1,638 -205
1,659   1,794 -135
7,020   4,393 2,627
7,956   7,084 872
2,194   2,300 -106
1,247   1,116 131
3,377   2,791 586
1,015   1,512 -497
1,562   1,687 -125
1,256   730 526
144   165 -21
1,011   935 76
1,782   2,033 -251
3,317   1,777 1,540
11,238   7,005 4,233
1,778   1,938 -160
4,678   5,232 -554
219   265 -46
68,328   67,501 827
1,733   2,337 -604
9,180   12,132 -2,952
2,759   3,252 -493
51,566   48,831 2,735
13,537   13,168 369
39,994   46,091 -6,097
2,573   3,252 -679
34,295   36,144 -1,849
164   220 -56
7,061   7,352 -291
3,389   4,710 -1,321
25   28 -3
47,132   18,698 28,434
6,790   5,768 1,022
45,043   56,120 -11,077
12,026   10,721 1,305
39,086   23,714 15,372
3,566   4,322 -756
57,173   63,033 -5,860
1,705   1,767 -62
3,554   3,120 434
4,061   2,894 1,167
3,512   4,180 -668
3,576   3,710 -134
3,196   1,826 1,370
1,065   2,463 -1,398
5,481   5,978 -497
9,135   10,307 -1,172
2,798   2,454 344
1,849   2,184 -335
2,293   2,596 -303
1,028   982 46
2,897   2,285 612
5,136   5,666 -530
3,289   2,638 651
2,441   2,179 262
4,349   4,239 110
3,394   1,441 1,953
46,201   52,318 -6,117
1,920   2,240 -320
3,063   2,802 261
5,369   2,598 2,771
1,142   627 515
1,690   1,651 39
935   940 -5
623   552 71
703   721 -18
1,341   1,178 163
1,337   1,524 -187
1,498   1,147 351
1,390   1,716 -326
1,731   1,975 -244
7,645   6,781 864
5,952   6,184 -232
9,881   9,893 -12
2,129   2,721 -592
2,271   1,118 1,153
1,848   1,832 16
1,404   1,726 -322
2,454   2,640 -186
5,503   4,546 957
1,340   1,026 314
1,371   739 632
1,379   1,298 81
3,530   2,865 665
1,528   1,456 72
7,771   6,925 846
8,345   8,913 -568
1,361   1,150 211
1,418   1,530 -112
7,300   2,883 4,417
1,796   973 823
1,496   1,421 75
5,601   3,713 1,888
3,433   1,913 1,520
5,956   4,240 1,716
35,188   34,315 873
2,542   2,604 -62
2,284   2,488 -204
2,302   2,320 -18
105,099   93,496 11,603
5,787   5,664 123
4,014   778 3,236
3,271   2,318 953
2,677   3,020 -343
5,833   3,328 2,505
1,603   1,100 503
3,716   2,328 1,388
3,246   2,956 290
3,369   1,567 1,802
4,268   3,175 1,093
4,393   3,839 554
1,255   905 350
2,354   1,438 916
1,784   1,328 456
876   1,237 -361
4,673   2,054 2,619
1,808   1,193 615
3,098   3,632 -534
1,375   1,494 -119
1,942   331 1,611
803   765 38
7,916   5,294 2,622
4,896   3,946 950
1,046   867 179
1,873   2,207 -334
1,059   1,434 -375
1,852   1,649 203
16,422   16,076 346
884   892 -8
971   1,222 -251
1,084   835 249
19,994   16,322 3,672
1,692   1,582 110
5,973   2,339 3,634
941   487 454
2,031   1,941 90
750   708 42
584   596 -12
808   846 -38
5,266   8,647 -3,381
2,652   2,687 -35
5,399   6,433 -1,034
4,873   3,118 1,755
24,061   21,912 2,149
791   713 78
3,917   3,053 864
3,917   3,573 344
2,054   2,080 -26
1,321   1,321  
9,703   10,409 -706
1,334   1,612 -278
4,113   1,084 3,029
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
      32
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69 		(j)
Adjusted basis
as of 12/31/69 		(k)
Excess of col. (i)
over col. (j), if any
a       16,873
b       169
c       13,256
d       848
e       2,571
      456
      256
      332
      2,150
      418
      15
      -30
      -163
      278
      1,418
      1,063
      897
      141
      1,234
      148
      170
      -205
      807
      5
      -266
      -80
      -141
      593
      1,486
      219
      2,198
      52
      785
      -205
      -135
      2,627
      872
      -106
      131
      586
      -497
      -125
      526
      -21
      76
      -251
      1,540
      4,233
      -160
      -554
      -46
      827
      -604
      -2,952
      -493
      2,735
      369
      -6,097
      -679
      -1,849
      -56
      -291
      -1,321
      -3
      28,434
      1,022
      -11,077
      1,305
      15,372
      -756
      -5,860
      -62
      434
      1,167
      -668
      -134
      1,370
      -1,398
      -497
      -1,172
      344
      -335
      -303
      46
      612
      -530
      651
      262
      110
      1,953
      -6,117
      -320
      261
      2,771
      515
      39
      -5
      71
      -18
      163
      -187
      351
      -326
      -244
      864
      -232
      -12
      -592
      1,153
      16
      -322
      -186
      957
      314
      632
      81
      665
      72
      846
      -568
      211
      -112
      4,417
      823
      75
      1,888
      1,520
      1,716
      873
      -62
      -204
      -18
      11,603
      123
      3,236
      953
      -343
      2,505
      503
      1,388
      290
      1,802
      1,093
      554
      350
      916
      456
      -361
      2,619
      615
      -534
      -119
      1,611
      38
      2,622
      950
      179
      -334
      -375
      203
      346
      -8
      -251
      249
      3,672
      110
      3,634
      454
      90
      42
      -12
      -38
      -3,381
      -35
      -1,034
      1,755
      2,149
      78
      864
      344
      -26
       
      -706
      -278
      3,029
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7		 Bracket 2 133,624
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ................... 		Bracket 3  
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
SECTION 4940(e) REPEALED ON DECEMBER 20, 2019 - DO NOT COMPLETE
1 Reserved
(a)
Reserved 		(b)
Reserved 		(c)
Reserved 		(d)
Reserved
2
Reserved...........................
2
3
Reserved...........................
3
4
Reserved...........................
4
5
Reserved...........................
5
6
Reserved...........................
6
7
Reserved...........................
7
8
Reserved,..........................
8
Form 990-PF (2020)
Form 990-PF (2020)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket for line 1a
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b Reserved................................ 1 2,301
c All other domestic foundations enter 1.39% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 2,301
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 2,301
6 Credits/Payments:
a 2020 estimated tax payments and 2019 overpayment credited to 2020 6a 1,412
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 1,412
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 889
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2021 estimated taxBullet0 RefundedBullet 11 0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions
for the definition.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletIN
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2020 or the taxable year beginning in 2020? See the instructions for Part XIV.
    If "Yes," complete Part XIV .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletWELLS FARGO BANK NA Telephone no.bullet (888) 730-4933

    Located atbullet100 N MAIN ST MAC D4001-117WINSTON SALEMNC ZIP+4bullet27101
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2020, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ........
    1b
     
    No
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2020?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2020, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2020?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 2020 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2020.)..................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2020?
    4b
     
    No
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ......
    5b
     
     
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?..........
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?.....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .................
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    WELLS FARGO BANK N A TRUSTEE
    1     		31,386    
    100 N MAIN ST MAC D4001-117
    WINSTON SALEM,NC27101
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1  
    2  
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet  
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 8
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    2,074,589
    b
    Average of monthly cash balances.......................
    1b
    67,995
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    2,142,584
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    2,142,584
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    32,139
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    2,110,445
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    105,522
    Part XI
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here right arrow and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    105,522
    2a
    Tax on investment income for 2020 from Part VI, line 5......
    2a
    2,301
    b
    Income tax for 2020. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    2,301
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    103,221
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    103,221
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    103,221
    Part XII
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
    106,050
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
    0
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
    0
    b
    Cash distribution test (attach the required schedule) .................
    3b
    0
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    106,050
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b. See instructions.................
    5
    0
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    106,050
    Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
    the section 4940(e) reduction of tax in those years.
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2019     		(c)
    2019     		(d)
    2020
    1 Distributable amount for 2020 from Part XI, line 7 103,221
    2 Undistributed income, if any, as of the end of 2020:
    a Enter amount for 2019 only....... 92,935
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2020:
    a From 2015...... 0
    b From 2016...... 0
    c From 2017...... 0
    d From 2018...... 0
    e From 2019...... 0
    fTotal of lines 3a through e........ 0
    4Qualifying distributions for 2020 from Part
    XII, line 4: bullet$ 106,050
    a Applied to 2019, but not more than line 2a 92,935
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		0
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		0
    d Applied to 2020 distributable amount..... 13,115
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2020. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 0
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		0
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2020. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2021 ..........     		90,106
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		0
    8 Excess distributions carryover from 2015 not
    applied on line 5 or line 7 (see instructions) ...     		0
    9Excess distributions carryover to 2021.
    Subtract lines 7 and 8 from line 6a ......     		0
    10 Analysis of line 9:
    a Excess from 2016.... 0
    b Excess from 2017.... 0
    c Excess from 2018.... 0
    d Excess from 2019.... 0
    e Excess from 2020.... 0
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2020, enter the date of the ruling....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2020 (b) 2019 (c) 2018 (d) 2017
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...     		         
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    NONE
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    NONE
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    Wells Fargo Bank N A
    1 W 4th Street 4th Fl
    Winston Salem,NC27101
    (888) 730-4933
    bThe form in which applications should be submitted and information and materials they should include:
    Online Application - <https://www.wellsfargo.com/private-foundations/h
    cAny submission deadlines:
    May 1
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Foundation has a focus on the arts, scholarships at institutions of higher learning, and scientific research
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 11
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    ARTS UNITED OF GREATER FORT WAYNE
    300 E MAIN ST STE 100
    FORT WAYNE,IN46802     		NONE PC GENERAL OPERATING 20,000
    LUTHERAN UNIVERSITY ASSOCIATION
    1700 CHAPEL DRIVE
    VALPARAISO,IN463836493     		NONE PC GENERAL OPERATING 25,000
    INDIANA INSTITUTE OF TECHNOLOGY
    1600 E WASHINGTON BLVD
    FORT WAYNE,IN46803     		NONE PC GENERAL OPERATING 5,000
    TRINE UNIVERSITY INC
    1 UNIVERSITY AVE
    ANGOLA,IN467031764     		NONE PC GENERAL OPERATING 20,000
    JUNIOR ACHIEVEMENT OF NORTHERN INDIANA
    550 E WALLEN RD
    FORT WAYNE,IN468252737     		NONE PC GENERAL OPERATING 5,000
    SUPER SHOT INC
    1515 HOBSON RD
    FORT WAYNE,IN468054802     		NONE PC GENERAL OPERATING 10,000
    CANCER SERVICES OF ALLEN COUNTY INC
    6316 MUTUAL DR
    FORT WAYNE,IN46825     		NONE PC GENERAL OPERATING 10,000
    Total .................................bullet 3a 95,000
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3 Interest on savings and temporary cash
    investments ...........     		         
    4 Dividends and interest from securities....     14 57,261  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6 Net rental income or (loss) from personal property          
    7 Other investment income.....          
    8 Gain or (loss) from sales of assets other than
    inventory ............     		    18 133,624  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aFEDERAL TAX REFUND     		    1 560  
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..   191,445  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    191,445
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 13
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below?
    See instructions.
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    		 Firm's EIN SmallBullet
    Firm's address SmallBullet


    		 Phone no.
    Form 990-PF (2020)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2020 AccountingFeesSchedule
    Name:
    HAYNER FOUNDATION TA
    EIN:
    35-6064431
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE (NON-ALLOC 1,068     1,068

    TY 2020 InvestmentsCorpStockSchedule
    Name:
    HAYNER FOUNDATION TA
    EIN:
    35-6064431
    Name of Stock End of Year Book Value End of Year Fair Market Value
    25243Q205 DIAGEO PLC - ADR 7,422 12,070
    75513E101 RAYTHEON TECHNOLOGIE 16,724 17,019
    92826C839 VISA INC-CLASS A SHR 7,240 10,280
    94106L109 WASTE MANAGEMENT INC 9,404 10,260
    031162100 AMGEN INC 11,042 10,806
    609207105 MONDELEZ INTERNATION 6,916 9,531
    254687106 WALT DISNEY CO 2,452 7,066
    H84989104 TE CONNECTIVITY LTD 8,059 12,954
    460690100 INTERPUBLIC GROUP CO 10,741 13,924
    56501R106 MANULIFE FINANCIAL C 21,570 29,100
    00206R102 AT & T INC 23,309 20,592
    89151E109 TOTAL S.A. - ADR 13,611 12,531
    594918104 MICROSOFT CORP 9,658 51,601
    871829107 SYSCO CORP 12,417 19,605
    09857L108 BOOKING HOLDINGS INC 4,349 6,682
    172967424 CITIGROUP INC. 17,916 20,163
    192446102 COGNIZANT TECH SOLUT 8,913 11,473
    58933Y105 MERCK & CO INC NEW 11,750 17,505
    285512109 ELECTRONIC ARTS INC 3,297 5,313
    126650100 CVS HEALTH CORPORATI 12,549 15,436
    867224107 SUNCOR ENERGY INC NE 10,706 7,635
    512807108 LAM RESEARCH CORP CO 7,073 17,002
    Y2573F102 FLEX LTD 3,622 4,765
    46625H100 JPMORGAN CHASE & CO 11,818 23,254
    150870103 CELANESE CORP 6,730 12,864
    09260D107 BLACKSTONE GROUP INC 9,548 11,212
    17275R102 CISCO SYSTEMS INC 11,880 22,912
    911312106 UNITED PARCEL SERVIC 10,798 19,871
    G5960L103 MEDTRONIC PLC 6,066 7,146
    91324P102 UNITEDHEALTH GROUP I 10,785 21,742
    883556102 THERMO FISHER SCIENT 1,097 5,589
    31620M106 FIDELITY NATL INFORM 11,954 13,156
    097023105 BOEING CO 5,330 10,061
    G29183103 EATON CORP PLC 7,345 7,569
    904767704 UNILEVER PLC - ADR 15,526 17,625
    907818108 UNION PACIFIC CORP 2,323 7,079
    654106103 NIKE INC CL B 3,462 8,205
    09247X101 BLACKROCK INC 5,379 10,823
    891160509 TORONTO DOMINION BK 18,556 20,255
    037833100 APPLE INC 7,453 49,228
    H2906T109 GARMIN LTD 15,934 19,983
    02079K107 ALPHABET INC CL C 16,901 31,534
    00287Y109 ABBVIE INC 9,038 9,108
    517834107 LAS VEGAS SANDS CORP 5,705 7,808
    405217100 HAIN CELESTIAL GROUP 2,776 4,577
    11135F101 BROADCOM INC 15,179 24,520
    532457108 ELI LILLY & CO COM 5,028 10,468
    87612E106 TARGET CORP 4,087 17,123

    TY 2020 InvestmentsOtherSchedule2
    Name:
    HAYNER FOUNDATION TA
    EIN:
    35-6064431
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    464287705 ISHARES S&P MIDCAP 4      
    87234N765 TCW EMRG MKTS INCM-I AT COST 89,254 95,231
    921943858 VANGUARD FTSE DEVELO AT COST 73,617 96,828
    25243Q205 DIAGEO PLC - ADR      
    254687106 WALT DISNEY CO      
    56501R106 MANULIFE FINANCIAL C      
    91324P102 UNITEDHEALTH GROUP I      
    46625H100 JPMORGAN CHASE & CO      
    517834107 LAS VEGAS SANDS CORP      
    375558103 GILEAD SCIENCES INC      
    532457108 ELI LILLY & CO COM      
    89151E109 TOTAL FINA ELF S.A.      
    779919307 T ROWE PR REAL ESTAT      
    172967424 CITIGROUP INC      
    00206R102 AT & T INC      
    907818108 UNION PACIFIC CORP      
    87612E106 TARGET CORP      
    867224107 SUNCOR ENERGY INC NE      
    464287606 ISHARES S&P MIDCAP 4      
    58933Y105 MERCK & CO INC NEW      
    H84989104 TE CONNECTIVITY LTD      
    097023105 BOEING COMPANY      
    654106103 NIKE INC CL B      
    26875P101 EOG RESOURCES, INC      
    922042858 VANGUARD EMERGING MA      
    277923264 EATON VANCE GLOB MAC      
    126650100 CVS/CAREMARK CORPORA      
    G29183103 EATON CORP PLC      
    78463X863 SPDR DJ WILSHIRE INT      
    98978V103 ZOETIS INC      
    192446102 COGNIZANT TECH SOLUT      
    883556102 THERMO FISHER SCIENT      
    911312106 UNITED PARCEL SERVIC      
    150870103 CELANESE CORP      
    609207105 MONDELEZ INTERNATION      
    12572Q105 CME GROUP INC      
    921937819 VANGUARD INTERMEDIAT      
    Y2573F102 FLEXTRONICS INTL LTD      
    594918104 MICROSOFT CORP      
    09247X101 BLACKROCK INC      
    464287655 ISHARES RUSSELL 2000 AT COST 72,243 98,226
    02079K107 ALPHABET INC/CA      
    848574109 SPIRIT AEROSYTSEMS H      
    921937827 VANGUARD BD INDEX FD      
    17275R102 CISCO SYSTEMS INC      
    512807108 LAM RESEARCH CORP CO      
    693475105 PNC FINANCIAL SERVIC      
    872540109 TJX COS INC NEW      
    037833100 APPLE COMPUTER INC C      
    437076102 HOME DEPOT INC      
    405217100 HAIN CELESTIAL GROUP      
    G5960L103 MEDTRONIC PLC      
    464287226 ISHARES CORE U.S. AG AT COST 312,480 331,759
    922908629 VANGUARD MIDCAP VIPE AT COST 282,791 382,111
    31620M106 FIDELITY NATL INFORM      
    31641Q755 FIDELITY NEW MRKTS I AT COST 47,207 47,892
    891160509 TORONTO DOMINION BK      
    74256W626 PRINCIPAL HIGH YIELD      
    11135F101 BROADCOM INC      
    46434G103 ISHARES CORE MSCI EM AT COST 165,456 191,890
    285512109 ELECTRONIC ARTS INC      
    755111507 RAYTHEON CO      
    27830W108 EV GL MACR ABS RTRN AT COST 45,716 44,761
    46090F100 INVESCO OPTIMUM YIEL AT COST 38,477 49,427
    74440Y884 PGIM HIGH YIELD-Q 10 AT COST 241,820 260,203

    TY 2020 OtherDecreasesSchedule
    Name:
    HAYNER FOUNDATION TA
    EIN:
    35-6064431
    Description Amount
    MUTUAL FUND TIMING ADJ 669
    TAX LOT ADJUSTMENT 564
    ROUNDING 3


    TY 2020 OtherExpensesSchedule
    Name:
    HAYNER FOUNDATION TA
    EIN:
    35-6064431
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OTHER ADMINISTRATIVE EXPENSE 96 0   96
    OTHER ADMINISTRATIVE EXPENSE 96 0   96
    INVESTMENT EXPENSES - ADR FEES 18 18   0


    TY 2020 OtherIncomeSchedule2
    Name:
    HAYNER FOUNDATION TA
    EIN:
    35-6064431
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    FEDERAL TAX REFUND 560 0  


    TY 2020 OtherIncreasesSchedule
    Name:
    HAYNER FOUNDATION TA
    EIN:
    35-6064431
    Description Amount
    PY PENDING SALES ADJ 3,622


    TY 2020 OtherProfessionalFeesSchedule
    Name:
    HAYNER FOUNDATION TA
    EIN:
    35-6064431
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    GRANT ADMIN FEE 1,943     1,943


    TY 2020 TaxesSchedule
    Name:
    HAYNER FOUNDATION TA
    EIN:
    35-6064431
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 1,334 1,334   0
    FOREIGN TAXES ON QUALIFIED FOR 148 148   0
    FOREIGN TAXES ON NONQUALIFIED 267 267   0